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LMCIT EXCESS LIABILITY COVERAGE <br />Cities obtaining excess coverage from the League of Minnesota <br />Cities Insurance Trust must decide whether or not to waive the <br />statutory liability limits to the extent of the excess coverage <br />purchased. This decision must be made by the city council. <br />CITIES PURCHASING EXCESS COVERAGE MUST COMPLETE AND RETURN THIS <br />FORM TO LMCIT BEFORE THE EFFECTIVE DATE OF THE COVERAGE. <br />For further information, refer to the accompanying memo. City <br />officials may also want to discuss these issues with the city <br />attorney. <br />The City of accepts excess liability coverage <br />. <br />limits of $ from the League of Minnesota Cities <br />Insurance Trust. <br />Check one: <br />The city DOES NOT WAIVE the monetary limits on tort <br />mobility established by Minnesota Statutes 466.04. <br />The city WAIVES the monetary limits on tort liability <br />established by Minnesota Statutes 466.04, to the extent of the <br />limits of the excess liability coverage obtained from the League <br />of Minnesota Cities Insurance Trust. <br />Date of city council meeting: <br />Signature: <br />Position: <br />Return this completed form to North Star Risk Services, 1401 <br />West 76th St., Suite 500, Minneapolis, Mn. 55423. <br />1703 <br />S I S I O I a NIA' 3 O f a glint 7R 3,•2 .3 S T B •x70 ' T r <br />